Individual
TARIQ MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 W LA VETA AVE STE 250, ORANGE, CA 92868-4303
(714) 541-6622
(714) 541-0531
Mailing address
1010 W LA VETA AVE STE 250, ORANGE, CA 92868-4303
(714) 541-6622
(714) 541-0531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A34660
CA
207RH0003X
Hematology & Oncology Physician
Primary
A34660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057460
—
CA
01
—
WA34660B
PTAN
—
Enumeration date
05/04/2006
Last updated
04/28/2023
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